Sla Neuropsychological Services

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

Legal business name

SLA NEUROPSYCHOLOGICAL SERVICES

Practice address

6975 Union Park Ave #600
Cottonwood Heights, UT 84047

Phone

(801) 382-8946

NPI assigned

Aug 12, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Samantha AllisonNPI 1215582028

Title

Owner

Phone

(801) 382-8946

Specialties & licenses 1

Addresses

Other names 1

• Neuropsychological Services Former legal business name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Samantha Allison, PHD

  • Clinical Neuropsychologist
  • Murray, UT
  • NPI 1215582028
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1723420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723420800000",
    "number": "1053142083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6277 S LOMBARDY DR",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841212064",
            "telephone_number": "801-382-8946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6975 UNION PARK AVE #600",
            "city": "COTTONWOOD HEIGHTS",
            "state": "UT",
            "postal_code": "84047",
            "telephone_number": "801-382-8946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SLA NEUROPSYCHOLOGICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-12",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-06",
        "status": "A",
        "authorized_official_last_name": "ALLISON",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-382-8946"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Neuropsychological Services",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Clinical Neuropsychologist in Cottonwood Heights, UT
• Providers in Cottonwood Heights, UT by specialty
• Clinical Neuropsychologist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.